Cancer Treatment Pathways: reviewed by oncologists

Pathways are developed using a rigorous process of evidence-based medicine. Cancer Treatment Pathways are selected from therapies recommended by national guidelines on the basis of:

Clinical benefit (efficacy)

Side-effects (toxicity), especially those that lead to
hospitalizations or impact quality of life

Strength of national guideline recommendations

Cost

Up-to-date
Standards of oncologic care evolve rapidly and keeping pace with
change is vital to the health of your patients. That's why it's
important to know that the Cancer Treatment Pathways identified
in our Program are updated through a systematic review of medical
evidence, at least quarterly, and more often when new treatments
emerge or national guidelines change. Through the rigor of this
process, an up-to-date source of Cancer Treatment
Pathways is maintained.

Putting your patients first
We recognize that every patient is unique. While efforts have been made to
identify Pathways that offer the best treatment option for most
patients, the treating oncologist may decide that
another treatment regimen is best for an individual patient.

Whether a Cancer Treatment Pathway or an alternate regimen is chosen, the Cancer Care Quality Program supports benefit coverage for all regimens that meet the clinical review criteria of your patient's health plan.